Walter B. Sadauskas, Inc. uses the following Finance Companies to provide a wider range of 
credit for your unique business needs.

Please provide the requested Information below to us to pre-approve your financing of our vehicles. 
Fill out, Print and mail or Fax this form to.

Walter B. Sadauskas, Inc.
Utility Company Trucks
299 Rt. 30 West
Imperial, PA 15126
724-695-0545 Phone
toll free outside of PA: 877-295-3145
724-695-8904 Fax 

Business Information
Type of Business
Legal Name of Lessee
Federal ID#
Lessee Contact Name
Lessee Contact Phone
Lessee Address Line 1
Lessee Address Line 2
Lessee City
Lessee State
Lessee Zip
Name of Officer Signing Lease
Title of Signing Officer
Description of Business
Years in Business
1-2 2-4 4-7 7-15 15+
Requested Truck Information
Stock # of Vehicle You'd like
Owners Information
Principal's Name
Principals SS#
Home Address line 1
Home Address line 2
Home City
Home State
Home Zip
Home Phone
Date of Birth
Banking Information
Bank Name
Bank City
Bank Phone Number
Bank Contact Person
Checking Account Number
Savings Account Number
LN Account Number
Credit Reference
Landlord or Mortgage Holder
Landlord City
Landlord Phone
Landlord Contact Name
Reference Information
Trade Reference 1 Name
Trade Reference 1 City
Trade Reference 1 Phone
Trade Reference 1 Contact Person
Trade Reference 2 Name
Trade Reference 2 City
Trade Reference 2 Phone
Trade Reference 2 Contact Person
Trade Reference 3 Name
Trade Reference 3 City
Trade Reference 3 Phone
Trade Reference 3 Contact Person

I hereby authorize our banks, trade references and financial institutions to release credit information to the leasing companies used by Walter B. Sadauskas, Inc.